title: [Case of anesthesia for laparoscopic cholecystectomy in a patient with a history of frequent anaphylaxis].
abstract: Idiopathic anaphylaxis is a rare disease that induces anaphylactic shock without extrinsic incentive. We had a patient with such frequent episodes undergoing laparoscopic cholecystectomy. Steroid was administered both at preoperative and intraoperative periods. Epidural anesthesia and general anesthesia by inhalation anesthesia, which are low risk for anaphylaxis, were used to reduce perioperative stress and restricted usage of drugs even in postoperative period. Consequently, we can safety manage anesthesia without episode of anaphylactic shock. To prepare for anaphylaxis we prepared usual therapeutic drugs for shock and measured serum tryptase, which has longer half-life than that of histamine.
authors.affiliation: Department of Anesthesiology, Kitasato University School of Medicine, Sagamihara 228-8555.
authors.forename: Yufuko
authors.initials: Y
authors.lastname: Yamagata
authors.forename: Tamie
authors.initials: T
authors.lastname: Takenami
authors.forename: Masanori
authors.initials: M
authors.lastname: Koto
authors.forename: Hiromi
authors.initials: H
authors.lastname: Matsuda
authors.forename: Hisae
authors.initials: H
authors.lastname: Saito
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Okamoto
mesh_terms: D000707:Anaphylaxis / Q000175:diagnosis / Q000517:prevention & control*; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D015415:Biomarkers / Q000097:blood; D017081:Cholecystectomy, Laparoscopic; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D055502:Secondary Prevention; D053802:Tryptases / Q000097:blood
chemical_list: D015415:Biomarkers; D053802:Tryptases